Healthcare Provider Details

I. General information

NPI: 1730310731
Provider Name (Legal Business Name): LAURA R REYNOLDS LPC,LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 BELLEVUE ST SE
WASHINGTON DC
20032-6030
US

IV. Provider business mailing address

920 BELLEVUE ST SE
WASHINGTON DC
20032-6030
US

V. Phone/Fax

Practice location:
  • Phone: 301-562-4939
  • Fax:
Mailing address:
  • Phone: 202-562-4939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC3124
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC14050
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: